Kelli Anne Larson, DO - Medicare Family Practice in Polson, MT

Kelli Anne Larson, DO is a medicare enrolled "Family Medicine" physician in Polson, Montana. She graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice St Lukes Community Hospital and her current practice location is 107 Ridgewater Dr, Polson, Montana. You can reach out to her office (for appointments etc.) via phone at (406) 883-3737.

Kelli Anne Larson is licensed to practice in Montana (license number 41446) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1629336953.

Contact Information

Kelli Anne Larson, DO
107 Ridgewater Dr,
Polson, MT 59860-8977
(406) 883-3737
(406) 883-2669



Physician's Profile

Full NameKelli Anne Larson
GenderFemale
SpecialityFamily Practice
Experience12 Years
Location107 Ridgewater Dr, Polson, Montana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelli Anne Larson graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1629336953
  • Provider Enumeration Date: 04/24/2012
  • Last Update Date: 10/14/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 2466685359
  • Enrollment ID: I20150916001809

Medical Identifiers

Medical identifiers for Kelli Anne Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629336953NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 41446 (Montana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Luke Community HospitalRonan, MTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Lukes Community Hospital549665956758

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelli Anne Larson allows following entities to bill medicare on her behalf.
Entity NameSt Lukes Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306911169
PECOS PAC ID: 5496659567
Enrollment ID: O20031121000276

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelli Anne Larson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelli Anne Larson, DO
107 6th Ave Sw,
Ronan, MT 59864-2634

Ph: (406) 676-4441
Kelli Anne Larson, DO
107 Ridgewater Dr,
Polson, MT 59860-8977

Ph: (406) 883-3737

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Family Medicine Doctors in Polson, MT

Scot A Swanson, M.D,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 6 13th Ave E, Polson, MT 59860
Phone: 406-883-5680    Fax: 406-883-8910
Dr. Cara J Harrop, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 104 Rufus Ln, Polson, MT 59860
Phone: 406-883-2555    Fax: 406-883-2559
Thomas E Sherry, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6 13th Ave E, Polson, MT 59860
Phone: 406-883-5680    Fax: 406-883-8910
Adam T Smith, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 106 Ridgewater Dr Ste A, Polson, MT 59860
Phone: 406-883-3200    Fax: 406-883-9483
Daniel P Rausch, M. D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 106 Ridgewater Dr Ste A, Polson, MT 59860
Phone: 406-883-3200    Fax: 406-883-9483
Dr. Deborah H. Sogge-kermani, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 42628 Flathead View Dr, Polson, MT 59860
Phone: 406-883-1330    Fax: 406-883-1330
Amy Richmond, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6 13th Ave E, Polson, MT 59860
Phone: 406-883-8420    

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